Organization · Type 2 NPI
Edgewood Kingman Az03 LLC
Assisted Living Facility · Kingman, AZ
NPI number
1366376683
Active
Practice location
3600 Peterson Rd
Kingman, AZ 86409-3276
Mailing address
PO Box 13238
Grand Forks, ND 58208-3238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
Other assisted living facility providers in Kingman
About NPI 1366376683
Edgewood Kingman Az03 LLC's National Provider Identifier is 1366376683, issued on Jun 11, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kingman, AZ. The record was last updated on Jun 11, 2026.